Abstract
Noninvasive imaging methods can be valuable tools for diagnosing thoracic diseases, especially malignancies. The aim of this study was to compare the effectiveness of conventional and virtual bronchoscopy in the follow-up of patients with large airway stenosis. Twenty-three consecutive patients with stenoses of the trachea and/or the main bronchi were enrolled in this prospective observer study. The causes of stenosis included malignant or benign tumours, goiter, and postintubation stenoses. Patients were evaluated before and after treatment (which included mechanical dilation, laser photocoagulation, stent implantation, radiotherapy, chemotherapy, and surgical resection). The mean time between baseline and follow-up endoscopy was 140 days. No significant differences were observed between the estimated and measured data from bronchofibroscopy and virtual bronchoscopy. Exact measurement of stenoses was performed with virtual bronchoscopy.
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Neumann K, Winterer J, Kimmig M et al (2000) Real-time interactive virtual endoscopy of the tracheo-bronchial system: influence of CT imaging protocols and observer ability. Eur J Radiol 33:50–54
Hoppe H, Walder B, Sonnenschein M et al (2002) Multidetector CT virtual bronchoscopy to grade tracheobronchial stenosis. AJR Am J Roentgenol 178:1195–1200
Liewald F, Lang G, Fleiter T et al (1998) Comparison of virtual and fiberoptic bronchoscopy. Thorac Cardiovasc Surg 46:361–364
Márk Zs, Bajzik G, Repa I et al (2001) Virtual bronchoscopy: a new non-invasive diagnostic method in pulmonology. Orv Hetil 142:565–569
Haponik EF, Aquino SL, Vining DJ (1999) Virtual bronchoscopy. Clin Chest Med 20:201–217
Heyer CM, Nuesslein TG, Jung D et al (2007) Tracheobronchial anomalies and stenoses: detection with low-dose multidetector CT with virtual tracheobronchoscopy—comparison with flexible tracheabronchoscopy. Radiology 242:542–549
Burke AJ, Vining DJ, McGuirt WF et al (2000) Evaluation of airway obstruction using virtual endoscopy. Laryngoscope 110:23–29
Colt HG, Crawford SW, Galbraith O III (2001) Virtual reality bronchoscopy simulation: a revolution in procedural training. Chest 120:1333–1339
McAdams HP, Goodman PC, Kussin P (1998) Virtual bronchoscopy for directing transbronchial needle aspiration of hilar and mediastinal lymph nodes: a pilot study. AJR Am J Roentgenol 170:1361–1364
Summers RM (1997) Navigational aids for real-time virtual bronchoscopy. AJR Am J Roentgenol 168:1165–1170
Ferretti G (1999) Virtual endoscopy: which indications? Rev Mal Respir 3:59–60
Bauer TL, Steiner KV (2007) Virtual bronchoscopy: clinical applications and limitations. Surg Oncol Clin N Am 16:323–328
Summers RM, Shaw DJ, Shelhamer JH (1998) CT virtual bronchoscopy of simulated endobronchial lesions: effect of scanning, reconstruction, and display settings and potential pitfalls. AJR Am J Roentgenol 170:947–950
Koletsis EN, Kalogeropoulu C, Prodromaki E et al (2007) Tumoral and non-tumoral trachea stenoses: evaluation with three dimensional CT and virtual bronchoscopy. J Cardiothorac Surg 2:18
Amorico MG, Drago A, Vetruccio E et al (2006) Tracheobronchial stenosis: role of virtual endoscopy in diagnosis and follow-up after therapy. Radiol Med (Torino) 111:1064–1077
Ferretti GR, Kocier M, Calaque O et al (2003) Follow-up after stent insertion in the tracheobronchial tree: role of helical computed tomography in comparison with fiberoptic bronchoscopy. Eur Radiol 13:1172–1178
Márk Zs, Bajzik G, Nagy A et al (2004) Virtual bronchoscopy for follow-up investigation of main airway stenoses. Orv Hetil 145:1233–1235
Shitrit D, Valdsislav P, Grubstein A et al (2005) Accuracy of virtual bronchoscopy for grading tracheobronchial stenosis: correlation with pulmonary function test and fiberoptic bronchoscopy. Chest 128:3545–3550
Finkelstein SE, Schrump DS, Nguyen DM et al (2003) Comparative evaluation of super high-resolution CT scan and virtual bronchoscopy for the detection of tracheobronchial malignancies. Chest 124:1834–1840
Higgins WE, Ramaswamy K, Swift RD et al (1998) Virtual bronchoscopy for three-dimensional pulmonary image assessment: state of the art and future needs. Radiographics 18:761–778
Wood BJ, Razavi P (2002) Virtual endoscopy: a promising new technology. Am Fam Physician 66:107–112
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Mark, Z., Bajzik, G., Nagy, A. et al. Comparison of Virtual and Fiberoptic Bronchoscopy in the Management of Airway Stenosis. Pathol. Oncol. Res. 14, 313–319 (2008). https://doi.org/10.1007/s12253-008-9059-3
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DOI: https://doi.org/10.1007/s12253-008-9059-3